4260 Lodgepole Dr - Tie In Card a y
.. EAGA.N TOWNSHIP
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454 -5242
PERMIT FOR WATER SERVICE CONNECTION
Date: Junes 28, 1y12 Number: 8 74
Billing Name: Pilsen Gonstruction Co Site Address: !s:-'60 Loa,„.1.0ie Ill'iv
Owner: :. .to Billing Address
Plumber:
Location of Connection Meter Size Connection Chg.- %"- , d/c5/72
Meter No. Permit Fee lo. r. 1 /i8 /q2
Meter Reading Meter Dep.
Meter Sealed: Yea Add'l Chg.
y NO Total Chg.
Inspected by
Date
uilding is a: Remarks:
Residence :_c
Multiple No, Units $25.00 RE INSPECTION FEE FOR
1 1J :! �irt_J tit LiL11J.
Commercial
Industrial By:
Other Chief Inspector
consideration of the issue and delivery to me of the above permit, I
reby agree to do the proposed work in accordance with the rules and
gulations of Eagan Township, Dakota County, Minnesota.
BC notify the above office when ready for inspection and connection.